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Dog Adoption Application

Please note: We will only review applications that are completed in full.

Dog's name:

Home and Family Information

Your full name: Age:
Address: City:
Zip: Email:
Home phone: Mobile phone:
Work phone: Your employer:
Spouse's name: Spouse's employer:
Are you or your spouse a student?
Please select all that describe your living situation:
If renting, name and city of apartment complex:
Pet deposit amount: $
Weight limit:
Breed or quantity limit:
How long have you lived at your current address?
Are you planning to move in the next 12 months?
Does your home have a yard?
If so, does your yard have a fence?
Fence type and height:
Does your home have a pool?
Is there a fence around the pool?
If not, would you install a fence around the pool?
Does your home have a pet door?
If not, would you install one?
Select the time you are away from home:
Number of adults in household:
If you have children at home, what are their ages?
Do all family members agree to this adoption?
How would you rate your dog experience?
Who will be the primary caregiver?
Can you keep this dog away from other pets in your home for the first week?
Do you or your spouse travel frequently?
What provisions will you make for the dog's care while you are away?

Your New Pet

Where did you first learn about this dog?
What is your primary reason for adopting a dog at this time?
How long do you expect the dog's adjustment to your family to take?
How will you make this adjustment easier?
Preferred breed:
Preferred sex:
Preferred age:
Preferred size:
Preferred level of exercise:
How do you plan to house train your new dog?
Do you plan to crate train?
Do you plan to enroll your new dog in training classes?
If needed, would you pay for training classes?
Describe a typical day in your household:
Describe all activities you plan to do with your new dog:
What areas of the house will be off limits to your dog?
How many hours a day will the dog spend outside?
How many hours a day will the dog be home alone?
Where will the dog stay when home alone?
When outside, what means will you use to secure the dog?
When inside, what means will you use to secure the dog?
Where will this dog sleep at night?
About how many hours a day do you anticipate someone spending time with the dog?
How long do you plan to keep this dog?
How would you encourage your dog's appropriate behavior?
How would you correct your dog's undesirable behavior?
What reasons might prompt you to give up the dog?
If you did have to give up your pet, what would you do with the dog?

Your Pet History

Please list all pets currently owned.
Inside, Outside or Both?
Years Owned
Where did you obtain this pet?
Any other information about your current pets?

List all pets previously owned within the past 5 years, including deceased, lost, stolen, sold, or given away.
Inside, Outside or Both?
Years Owned
Where did you obtain this pet?
Where is this pet now?
Any other information about your previous pets?
Have you ever adopted from a rescue group, humane society, or shelter?
If yes, who did you adopt from?
Have you ever given up an animal?
If yes, why and what did you do with the animal?
Have you ever had an animal with severe medical expenses?
If yes, what did you do?
Are/were your pets current on vaccinations?
Are/were your pets current on heartworm preventative?
If yes, what brand preventative do you use?
Date last given?
What food does your pet eat?
Most recent veterinary clinic and city:
Do you give HSL permission to contact this clinic for a reference?
When was your last visit to the vet?
Do you plan on using ID for your dog?
If yes, what kind of ID?
If your dog was lost, how would you go about locating him/her?

Terms and Conditions

We will attempt to provide you with an honest evaluation of temperament on any animal we have. Please understand that often times the complete history of an animal may not be known and you may encounter some behavioral problems. Are you willing to work with the adopted pet to correct these problems?

I understand the Humane Society of Lewisville’s mandatory spay/neuter policy.

I understand that proper food and veterinarian care can be costly. I agree to take my pet to the vet for regular check-ups and routine vaccinations. I certify that I am financially and physically able to care for this animal.

I certify that the information provided on this profile is true and correct, and that I am seeking to adopt this pet for my household in the manner represented in this application. I realize that any false information given will result in nullifying the adoption.

I also understand that the Humane Society of Lewisville reserves the right to refuse any adoption, with or without cause.

By submitting this application, I give HSL permission to confirm any information provided. I also agree to a home visit prior to and after the adoption.

Do you understand the terms and conditions listed above, and do you agree to the terms and conditions listed above, and do you agree to the requirements of the HSL adoption process? *

We recommend that you print a copy for your records prior to submitting. Upon a successful submission, you will be redirected to a confirmation page. If you submitted your email address, you will receive an email confirmation. Your application will be reviewed by HSL and you will be contacted within the next few days. Thank you!

To prevent spam, we ask that you type the black letters into the box above before hitting the submit button.